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Individual

DR. LUIS A RONDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2100 2ND ST. SW, HSWL-FO NATIONAL CAPITAL AREA, WASHINGTON, DC 20593
(202) 372-4100
(202) 372-4910
Mailing address
2300 WILSON BLVD SUITE 500, US COAST GUARD RECRUITING COMMAND, ARLINGTON, VA 20598-7500
(703) 235-1745
(703) 235-1883

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
7717
PR
207Q00000X
Family Medicine Physician
Primary
7717
PR

Other

Enumeration date
12/08/2005
Last updated
08/20/2012
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